Active NPI
Iftikher Uddin Mahmood, MD
- Pediatrics Physician
- Miami, FL
National Provider Identifier
1275592198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME70343
- Practice address
- 16401 NW 2ND Ave
Suite 202
Miami, FL 33169-6036 - Phone
- (305) 947-4734
- Fax
- (305) 944-0619
- NPI assigned
- Mar 20, 2006
- Last updated
- Oct 7, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | ME70343 | FL | |
| Pediatrics Physician | 208000000X | ME70343 | FL | Primary |
Addresses
Primary practice location
16401 NW 2ND Ave
Suite 202
Miami, FL 33169-6036
Mailing address
16401 NW 2ND Ave
Suite 202
Miami, FL 33169-6036
Phone (305) 947-4734
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 250880000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME70343 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatrics of Sarasota | Single Specialty | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/17638/brand/1/csg/1/fhir/r4
- iftikher.mahmood@nmpp-fl.direct.office.nextgen.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602028800000",
"number": "1275592198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16401 NW 2ND AVE",
"address_2": "SUITE 202",
"city": "MIAMI",
"state": "FL",
"postal_code": "331696036",
"telephone_number": "305-947-4734",
"fax_number": "305-944-0619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16401 NW 2ND AVE",
"address_2": "SUITE 202",
"city": "MIAMI",
"state": "FL",
"postal_code": "331696036",
"telephone_number": "305-947-4734",
"fax_number": "305-944-0619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHMOOD",
"first_name": "IFTIKHER",
"middle_name": "UDDIN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-20",
"last_updated": "2020-10-07",
"certification_date": "2020-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Adolescent Medicine",
"state": "FL",
"license": "ME70343",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME70343",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "250880000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.